Published in:
Open Access 01-12-2008 | Case report
Thyroid carcinoma with discharging sinus – a rarity: a case report
Published in: Journal of Medical Case Reports | Issue 1/2008
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Introduction
Well differentiated thyroid carcinoma with isolated involvement of skin is extremely rare. Presentation with a discharging sinus has not been reported.
Case presentation
This is a report of a 62 year old male patient with a long standing history of thyroid swelling which has metastasized to neck nodes and ulcerated over the midline resulting in a discharging sinus.
Conclusion
Extra thyroidal extension is seen in 4% to 16% of all well differentiated thyroid cancers. However there is only an isolated report of skin ulceration over the thyroid. This is a unique case where the ulceration resulted in a discharging sinus. Patient is alive after 2 years following successful therapy. Aggressive surgery is warranted for locally advanced thyroid cancer.